The public health system in India through the National Health Mission (NHM) visualises the attainment of Universal Health Coverage (UHC) for all its citizens, which provides access to equitable, affordable and quality health care services, which is also accountable and responsive to the needs of the people.
Overview of the organisational structure of the health system in relation to the National TB Elimination Programme (NTEP) is shown in the figure below.
All childhood TB patients’ sputum and other relevant samples (e.g. gastric aspirate, induced sputum, bronchoscopic lavage, lymph node aspiration, CSF, tissue biopsies etc.) should be subjected to genotypic or the phenotypic Drug Susceptibility Tests (DSTs). Based on the bacteriological confirmation, the child should be treated for DS/DR TB as required.
But in cases where the child’s DST is unknown, the source patient’s DST should be considered.
Diagnostic Algorithm for Paediatric DR-TB
Drug-resistant TB (DR-TB) diagnosis is predominantly based on laboratory diagnosis. Presumptive-TB/ DR-TB is identified by the health facility doctor during passive screening or by health staff/ community volunteers during Active Case Finding (ACF).
The vision of National TB Elimination Programme (NTEP) is to provide early diagnosis to all persons with any form of DR-TB through Universal Drug Susceptibility Testing (UDST).
NTEP integration with the health system at different levels, national, state, district, block, PHC, AB-HWCs.
Overview of the structure of Health System in relation to TB Elimination. Enumerate the components, administration (Centre and Govt), Public Health System (Include NHM), Medical Colleges.
Describe the STS as a HR in NTEP and overview of their roles in general.
N95 respirators are Personal Protective Equipment (PPE) used as a biosafety measure in clinical and laboratory settings.
N95 Respirators